Madison Harris is a Massage Therapist based in Salt Lake City, UT. Madison Harris practices in Tooele, UT. The NPI Number for Madison Harris is 1043850555 and holds a License No. (Utah).
The current practice location address for Madison Harris is 29 S Main St, Tooele, UT and can be reached out via phone at 435-843-7466.
Location: 29 S Main St, Tooele, UT, 84171-1185
Provider Profile Details
NPI Number
1043850555
Provider Name
Madison Harris
Credential
Provider Entity Type
Individual
Gender
Female
Address
29 S Main St, Tooele, UT, 84171-1185
Phone Number
435-843-7466
Fax Number
Provider Enumeration Date
01/13/2020
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10208378-4701 | 01 | UT | UTAH STATE LICENSE |
Provider Business Practice Location Address Details
Address
29 S Main St
City
State
Zip
84074-2158
Phone Number
435-843-7466
Fax Number
Provider Business Mailing Address Details
Address
29 S Main St
City
State
Zip
84074-2158
Phone Number
435-843-7466
Fax Number
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
()
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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